Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,011.72 / $5,360.00 / $9,539.00	Facility		$1,011.72	$5,360.00	$9,539.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $816.03 / $987.29 / $1,051.75	Professional		$816.03	$987.29	$1,051.75
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,153.00 / $7,363.00 / $9,410.00	Facility		$6,153.00	$7,363.00	$9,410.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $735.43 / $940.45 / $1,554.84	Professional		$735.43	$940.45	$1,554.84
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $846.57 / $914.30 / $12,325.00	Professional		$846.57	$914.30	$12,325.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $776.00 / $776.00 / $909.50	Facility		$776.00	$776.00	$909.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $796.00 / $1,122.61 / $1,811.79	Professional		$796.00	$1,122.61	$1,811.79
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $776.52 / $993.95 / $1,149.79	Professional		$776.52	$993.95	$1,149.79
Medcost Facility/Professional Facility Modifier Low / Median / High Price $832.34 / $1,183.71 / $1,840.90	Facility		$832.34	$1,183.71	$1,840.90
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,126.00 / $1,325.00 / $1,843.00	Professional		$1,126.00	$1,325.00	$1,843.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $793.66 / $1,148.76 / $3,655.26	Facility		$793.66	$1,148.76	$3,655.26
Sentara Facility/Professional Professional Modifier Low / Median / High Price $793.66 / $1,148.76 / $3,655.26	Professional		$793.66	$1,148.76	$3,655.26
United Facility/Professional Facility Modifier Low / Median / High Price $6,423.00 / $11,475.00 / $21,639.00	Facility		$6,423.00	$11,475.00	$21,639.00
United Facility/Professional Professional Modifier Low / Median / High Price $646.98 / $1,041.83 / $1,592.92	Professional		$646.98	$1,041.83	$1,592.92